SOUTH CENTRAL REGIONAL MEDICAL CENTER (NPI# 1114353539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114353539 |
Entity Type | Organization |
Organization Name | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
Other Organization Name | SOUTH CENTRAL DERMATOLOGY CLINIC - WAYNESBORO |
Practice Address |
920 Matthew Dr Suite 8 Waynesboro MS 39367-2553 |
Mailing Address |
Po Box 1649 Laurel MS 39441-1649 |
Practice Telephone | 6014257583 |
Practice Fax Number | 6013996281 |
Mailing Telephone | 6014257583 |
Mailing Fax Number | 6013996281 |
Enumeration Date | 2013-09-17 |
Last Update Date | 2013-09-17 |
Authorized Official Name | JAMES T CANIZARO (VP OF FINANCE/CFO) |
Authorized Official Telephone | 6013996139 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
South Central Dermatology Clinic - Waynesboro | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
1730121088 | South Central Regional Medical Center | Nursing Facility/Intermediate Care Facility | 1100 West Dr, Laurel, MS 39440-4730 | 2006-06-12 |
1437199213 | South Central Regional Medical Center | Skilled Nursing Facility | 683 County Home Rd, Ellisville, MS 39437-8455 | 2006-06-08 |
1609813757 | South Central Regional Medical Center | Obstetrics & Gynecology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-05-31 |
1629058094 | South Central Regional Medical Center | Ambulance | 23 Mason St, Laurel, MS 39440-4437 | 2006-01-20 |
1093790404 | South Central Regional Medical Center | Home Health | 2260 Us Highway 15 North, Laurel, MS 39440-1521 | 2005-12-08 |
1114923059 | South Central Regional Medical Center | Skilled Nursing Facility | 305 E Ivy St, Ellisville, MS 39437-2746 | 2005-06-24 |
1619973542 | South Central Regional Medical Center | General Acute Care Hospital | 1220 Jefferson St, Laurel, MS 39440-4355 | 2005-06-24 |
1134762610 | South Central Regional Medical Center | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2019-10-28 |
1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SOUTH CENTRAL REGIONAL MEDICAL CENTER, INC | 1220 Jefferson St, Laurel, MS 39440-4355 |
Street Address |
920 MATTHEW DR SUITE 8 |
City | WAYNESBORO |
State | MS |
Zip Code | 39367-2553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669463584 | Walley Clinic Pa | Family Medicine | 920 Matthew Dr, Ste A, Waynesboro, MS 39367-2567 | 2005-10-31 |
1598787160 | Wayne General Hospital | Home Health | 920 Matthew Dr, Suite 2, Waynesboro, MS 39367-2553 | 2006-07-24 |
1215958780 | Wayne General Hospital | Hospice Care, Community Based | 920 Matthew Dr, Suite2, Waynesboro, MS 39367-2553 | 2006-07-21 |
1295765022 | Thomas Casey Woodring | Obstetrics & Gynecology | 920 Matthew Dr, Suite A, Waynesboro, MS 39367-2553 | 2006-07-04 |
1316988025 | Wayne General Hospital | Clinic/Center | 920 Matthew Dr, Ste D, Waynesboro, MS 39367 | 2006-06-10 |
1356310536 | Jatinder Singh | Internal Medicine | 920 Matthew Dr, Waynesboro, MS 39367-2553 | 2006-03-17 |
1114995537 | Wulf Hirschfield | Internal Medicine | 920 Matthew Dr, Suite D, Waynesboro, MS 39367-2553 | 2006-03-10 |
1093798266 | Cynthia C. Odom | Nurse Practitioner | 920 Matthew Dr, Waynesboro, MS 39367-2553 | 2005-11-22 |
1043201858 | William Edwin Powell | Family Medicine | 920 Matthew Dr, Ste A, Waynesboro, MS 39367-2567 | 2005-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
1578914339 | Megan Cook | Specialist/Technologist | 44 D Hutto Drive, Waynesboro, MS 39367 | 2016-06-23 |
1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
1912181868 | Terry G Agent | Physical Therapist | 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | 2007-12-27 |
1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
1245313014 | Wal-mart Stores East, Lp | Technician/Technologist | 1350 Azalea Drive, Waynesboro, MS 39367 | 2006-10-23 |
1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
1396832150 | William Daniel Young | Specialist | 940 Matthew Dr Ste 7, Waynesboro, MS 39367 | 2006-10-05 |
1518076546 | Family Dental Center of Waynesboro, P.a. | Dentist | 500 Court Street, Waynesboro, MS 39367 | 2006-08-30 |
1780624510 | Bobbie Jean Cooksey | Nurse Practitioner | 920 Matthew Drive, Suite D, Waynesboro, MS 39367 | 2006-06-08 |
Find all providers in zip 39367 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134558331 | South Central Clinics, Inc | Dermatology | 920 Matthew Dr Ste 8, Waynesboro, MS 39367-2553 | 2013-11-07 |
1396748109 | Keith Allen Knoell | Dermatology | 2611 W Main St Ste 1, Waynesboro, VA 22980-1600 | 2005-05-24 |
1356344162 | Cynthia Hall Dent | Dermatology | 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 | 2005-05-24 |
1902258064 | Valley Dermatology, LLC | Dermatology | 2611 W Main St, Suite 1, Waynesboro, VA 22980-1600 | 2016-07-12 |
1295197309 | Olivia Leigh-quach Schenck | Dermatology | 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 | 2016-03-28 |
1114066024 | Sarah Ann Zeller | Dermatology | 1151 13th St, Waynesboro, VA 22980-4432 | 2007-02-06 |
1073614426 | Lynne Mcelroy Wold | Dermatology | 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760043046 | Skin In The Game, Pllc | Dermatology | 6510 Highway 90, Gautier, MS 39553-5015 | 2019-06-26 |
1427535079 | Jenna Joe Rose Cooper | Dermatology | 2204 Jefferson Davis Dr, Oxford, MS 38655-5222 | 2018-07-26 |
1427460849 | Anna Allred Wile | Dermatology | 4331 Highway 39 N Ste A, Meridian, MS 39301-1007 | 2014-05-21 |
1407296825 | Ashley Nicole Emerson | Dermatology | 6510 Highway 90 Ste C, Gautier, MS 39553-5015 | 2013-06-29 |
1265729719 | Jasmine C. Hollinger | Dermatology | 2080 S Frontage Rd Ste 113, Vicksburg, MS 39180-5882 | 2011-07-06 |
1295022861 | Kenneth Daniel Saul | Dermatology | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2011-07-05 |
1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
1063724987 | Lyndsay R Shipp | Dermatology | 705 Sisk Ave Ste 105, Oxford, MS 38655-3413 | 2010-07-08 |
1144545195 | Lisa Renee Chastant | Dermatology | 81 Mdos/sgomd, 301 Fisher St., Keesler Afb, MS 39534-2519 | 2010-04-01 |
1982836037 | Bethany R Hairston Md | Dermatology | 724 Leigh Drive, Columbus, MS 39705-3098 | 2009-08-21 |
Find all providers with the same taxonomy |
City | WAYNESBORO |
Zip Code | 39367 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.